please help make sense out of diagnosis

Discussion in 'Optometry Archives' started by Peter Michelson, Nov 19, 2004.

  1. I recently lost my glasses and sought to replace them. My eye exam was the
    first in 5 years, so it isn't surprising that my prescription changed. It
    was formerly R=0.75 and L=1.00.

    The new prescription based upon my exam was R=1.25 and L=1.25, with an
    astigmatism in the left eye. After receiving my new glasses, I reported
    that text appeared clear through my left eye, but was slightly blurry
    through my right eye.

    On this basis, I was re-examined. After doing more meticulous testing, the
    optometrist was able to ascertain that my right eye actually is actually
    1.00 and has a slight astigmatism. She explained that she missed this on
    the first pass because the standard testing protocol isn't sensitive enough
    and that it was only by testing manually that she could detect this.

    Thus, the prescription was changed and a new right lens was eventually
    installed in my glasses, however, I continued to wear the 1.25/1.25 glasses
    for about a week prior to picking up the corrected glasses. Upon looking
    through the corrected glasses, vision through my right eye was actually
    worse! I reported this and was re-examined again.

    After this third examination, I was told that 1) I am picky about my vision,
    but that's a good thing; 2) I most likely adapted to the other right lens,
    which was overcorrected, and need time to readjust to the new one; 3) one
    eye is always better than the other in all people, and it isn't possible to
    make my right eye see as well as my left using corrective lenses, and 4) my
    right eye falls between 1.00 and 1.25, and they simply don't make lenses

    In addition, on the basis of this third exam, I was told that the
    orientation of the astigmatism correction in my right lens needed to be
    changed by 3 degrees. She disappeared for 5 to 10 minutes and then returned
    with glasses that included the 3 degree correction. The 3-degree correction
    *seemed* to make an improvment, but vision through my left eye was still
    significantly clearer through the glasses than with my right eye.

    I am supposed to wear the glasses for 3 days and decide whether or not I
    want to revert to the old right lens, which is 1.25 with no astigmatism

    So, my questions are:

    1) is it true that, even corrected, "one eye will always be better than the
    other"? and if so, in what way is one eye better such that the other eye
    cannot be corrected to match?

    2) does it make sense to pursue a 2nd opinion, or does everything I was told
    seem reasonable?

    I would be grateful for any suggestions or insights about this.

    Thank you,
    Peter Michelson, Nov 19, 2004
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  2. Peter Michelson

    Dana Guest

    Just from my experience, it absolutely makes sense to get another opinion.
    I saw a few optometrists before I got a prescription I was happy with, and
    that one (unlike the others) didn't take any adjusting.

    I was called 'sensitive', not picky, but it's probably pretty much the same.
    I was also told I didn't take the tests well.

    Finding an optometrist I like was well worth it for me.


    who kept adjusting my prescription, and I wasn't happy with any of them.
    Then I saw the 5th, whose first one was perfect for me.
    Dana, Nov 20, 2004
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  3. Thanks for your reply. What kinds of "little things" happen that are not
    correctable with lenses? At what age are these typically present?

    Peter Michelson, Nov 20, 2004
  4. Thanks for your suggestions. I don't suppose the optometrist you liked is
    the DC area? :)
    I certainly hope I don't have to go through five optometrists before I find
    a prescription that works for me.
    Peter Michelson, Nov 20, 2004
  5. Peter Michelson

    Dana Guest

    Nowhere near DC, sorry. The way I found him was to ask the best optician
    I'd found (having gone through a few opticians too, that's another place
    there's a lot of difference) for a recommendation.

    Good luck!!!

    Dana, Nov 20, 2004
  6. Thanks :)
    Peter Michelson, Nov 21, 2004
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